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Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis.
J Hum Lact. 2016 Feb; 32(1):123-31.JH

Abstract

BACKGROUND

Many women in developed countries do not meet their breastfeeding goals and wean early because of breast pain.

OBJECTIVE

This study aimed to describe clinical response to therapeutic breast massage in lactation (TBML) in the management of engorgement, plugged ducts, and mastitis.

METHODS

Breastfeeding women presenting with engorgement, plugged ducts, or mastitis who received TBML as part of their treatment were enrolled (n = 42). Data collected at the initial visit included demographic, history, and exam data pre-TBML and post-TBML. Email surveys sent 2 days, 2 weeks, and 12 weeks following the initial visit assessed pain and breastfeeding complications. A nested case control of engorged mothers (n = 73) was separately enrolled to compare engorgement severity.

RESULTS

Reasons for the visit included engorgement (36%), plugged ducts (67%), and mastitis (29%). Cases, compared to controls, were significantly more likely to have severe engorgement (47% vs 7%, P < .001). Initial mean breast pain level among those receiving TBML was 6.4 out of 10. Following TBML, there was significant improvement in both breast (6.4 vs 2.8, P < .001) and nipple pain (4.6 vs 2.8, P = .013). All women reported immediate improvement in their pain level. At the 12-week survey, 65% found the massage treatment very helpful. The majority of the women with a new episode of mastitis or plugged duct during the study follow-up found the techniques learned during the office visit very helpful for home management of these episodes.

CONCLUSION

In office, TBML is helpful for the reduction of acute breast pain associated with milk stasis. Mothers find TBML helpful both immediately in-office and for home management of future episodes.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Witt AM
Breastfeeding Medicine of Northeast Ohio, Cleveland, OH, USA Senders Pediatrics, Cleveland, OH, USA Case Western Reserve University, Cleveland, OH, USA awitt@bfmedneo.com.
Bolman M
Breastfeeding Medicine of Northeast Ohio, Cleveland, OH, USA Senders Pediatrics, Cleveland, OH, USA.
Kredit S
Case Western Reserve University, Cleveland, OH, USA.
Vanic A
Breastfeeding Medicine of Northeast Ohio, Cleveland, OH, USA Senders Pediatrics, Cleveland, OH, USA.

MeSH

AdultBreast FeedingCase-Control StudiesFemaleFollow-Up StudiesHumansLactationLactation DisordersMassageMastitisProspective StudiesTreatment OutcomeYoung Adult

Pub Type(s)

Clinical Trial
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26644422

Clinical Trial Links

Physical Therapy Intervention for Puerperal Mastitis

Citation

Witt, Ann M., et al. "Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis." Journal of Human Lactation : Official Journal of International Lactation Consultant Association, vol. 32, no. 1, 2016, pp. 123-31.
Witt AM, Bolman M, Kredit S, et al. Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. J Hum Lact. 2016;32(1):123-31.
Witt, A. M., Bolman, M., Kredit, S., & Vanic, A. (2016). Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. Journal of Human Lactation : Official Journal of International Lactation Consultant Association, 32(1), 123-31. https://doi.org/10.1177/0890334415619439
Witt AM, et al. Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. J Hum Lact. 2016;32(1):123-31. PubMed PMID: 26644422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. AU - Witt,Ann M, AU - Bolman,Maya, AU - Kredit,Sheila, AU - Vanic,Anne, Y1 - 2015/12/07/ PY - 2014/11/20/received PY - 2015/11/04/accepted PY - 2015/12/9/entrez PY - 2015/12/9/pubmed PY - 2017/1/31/medline KW - blocked ducts KW - breast engorgement KW - breast pain KW - breastfeeding KW - breastfeeding experience KW - breastfeeding practices KW - breastfeeding support KW - expression KW - mastitis SP - 123 EP - 31 JF - Journal of human lactation : official journal of International Lactation Consultant Association JO - J Hum Lact VL - 32 IS - 1 N2 - BACKGROUND: Many women in developed countries do not meet their breastfeeding goals and wean early because of breast pain. OBJECTIVE: This study aimed to describe clinical response to therapeutic breast massage in lactation (TBML) in the management of engorgement, plugged ducts, and mastitis. METHODS: Breastfeeding women presenting with engorgement, plugged ducts, or mastitis who received TBML as part of their treatment were enrolled (n = 42). Data collected at the initial visit included demographic, history, and exam data pre-TBML and post-TBML. Email surveys sent 2 days, 2 weeks, and 12 weeks following the initial visit assessed pain and breastfeeding complications. A nested case control of engorged mothers (n = 73) was separately enrolled to compare engorgement severity. RESULTS: Reasons for the visit included engorgement (36%), plugged ducts (67%), and mastitis (29%). Cases, compared to controls, were significantly more likely to have severe engorgement (47% vs 7%, P < .001). Initial mean breast pain level among those receiving TBML was 6.4 out of 10. Following TBML, there was significant improvement in both breast (6.4 vs 2.8, P < .001) and nipple pain (4.6 vs 2.8, P = .013). All women reported immediate improvement in their pain level. At the 12-week survey, 65% found the massage treatment very helpful. The majority of the women with a new episode of mastitis or plugged duct during the study follow-up found the techniques learned during the office visit very helpful for home management of these episodes. CONCLUSION: In office, TBML is helpful for the reduction of acute breast pain associated with milk stasis. Mothers find TBML helpful both immediately in-office and for home management of future episodes. SN - 1552-5732 UR - https://www.unboundmedicine.com/medline/citation/26644422/Therapeutic_Breast_Massage_in_Lactation_for_the_Management_of_Engorgement_Plugged_Ducts_and_Mastitis_ DB - PRIME DP - Unbound Medicine ER -